IndividualActive
Eric Pettyjohn, MD
NPI 1356846299 · Sports Medicine (Family Medicine) Physician · Lake Mary, FL
Provider details
- NPI number
- 1356846299
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- ME156239 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1141 Patterson Ter
Lake Mary, FL 32746-2203
Phone: (844) 407-4070
Fax: (407) 743-3050
Approximate (ZIP-level) locationGet directions
Mailing address
265 E Rollins St
Orlando, FL 32804-5502
Registry dates
- Enumerated
- 2018-03-23
- Last updated
- 2026-01-12
- Certified
- 2026-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.